Personal Statement

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family....more

I'm dedicated to providing optimal health care in a relaxed environment where I treat every patients as if they were my own family.

More about Dr. Aruna Karla

Dr. Aruna Karla is a popular Gynaecologist in Sector-43, Gurgaon. She is currently practising at Paras Hospitals-Gurgaon in Sector-43, Gurgaon. You can book an instant appointment online with Dr. Aruna Karla on Lybrate.com.

Lybrate.com has top trusted Gynaecologists from across India. You will find Gynaecologists with more than 39 years of experience on Lybrate.com. You can find Gynaecologists online in Gurgaon and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

Obesity in adulthood is associated with a striking reduction in life expectancy for both men and women. Among 3457 subjects in the Framingham Study, done in the United States, those who were obese (Body Mass Index or BMI ≥30 kg/m2 at age 40 years lived 6 to 7 years less than those who were not (BMI ≤24.9 kg/m2). Those who were overweight (BMI 25 to 29.9 km/m2) at age 40 years lived about 3 years less, and those who were both obese and smoked lived 13 to 14 years less than normal–weight nonsmokers. The steady rise in life expectancy during the past two centuries may come to an end because of the increasing prevalence of obesity. Being overweight during adolescence also increase the risk of premature death as an adult. The analysis of Nurses’ Health Study has shown the risk of premature death increases with higher BMIs at age 18 years. For a BMI at age 18 of 18.5 to 21.9, 22 to 24.9, 25 to 29.9, and ≥30 kg/m2, the hazard ratio for premature death were 0.98, 1.18, 1.66, and 2.79, respectively.

A prospective study from the United States, at National Cancer Institute, National Institutes of Health, Bethesda, valuated the relationship between BMI and risk of death over a maximum follow–up period of 10 years among over 500,000 men and women aged 50 to 71 years. Among the subset of individuals 50 years of age (when prevalence of chronic disease is low) who had never smoked, an increased risk of death was associated with being either overweight (20 to 50 percent increase in those between 26.5 to 29.9 kg/m2) or obese (two– to over threefold increase in those ≥30 kg/m2).

Overweight and obesity, when analyzed together, is associated with increased mortality from diabetes and kidney disease. Obesity, when analyzed alone, is associated with increased cardiac mortality and cancers considered to be obesity–related (colon, breast, esophageal, uterine, ovarian, kidney, and pancreatic cancer), but not with mortality from other cancers or non–cardiac mortality.

There are some recent studies which showed that obese people live longer. Overweight was shown to be associated with reduced mortality from non cancer, non–cardiovascular causes, but not with cancer or cardiovascular mortality. In them being underweight was associated with increased mortality from non cancer and non–cardiac causes, but not cancer and cardiac CVD causes. Obesity and increased central fat are associated with increased morbidity in addition to mortality. Overweight and obese individuals have a higher relative risk of hypertension, hypercholesterolemia, and diabetes mellitus compared with normal weight individuals. The risk of hypertension and diabetes increases with increasing BMI.

In the Nurses’ Health and the Health Professionals studies, the risk of developing a chronic disease (gallstones, hypertension, heart disease, colon cancer and stroke (in men only)) increased with increasing BMI, even in those in the upper half of the healthy weight range (BMI 22.0 to 24.9 kg/m2). Obesity is measured by using a measurement called BMI, which is calculated by dividing a person’s weight in kilograms by the square of their height in meters.

A BMI of 18.5 to 23 is considered normal (Asians). One below 18.5 is considered underweight and 25 or above is considered obese.

Excercises can not be informed without pictures or demonstrations so ask your obstetrician or physiotherapist. Food again specific from dietician but in general high protein, vitamins, minerals, essential fatty acids, nutritional supplements, water, 20 % more calories.

Try if your cycle is regular then take chance on mid of cycle, say your cycle start on 1st then try help between 12-17. During this period you have maximum chance. Or do sex alternate day, more chances but it may happen at any time. Thanks.

no that was not safe period after one month of last period date do UPT[URINE PREGNANCY TEST ] THIS UPT-KIT you will get at any medical so bring it and do test at home all direction aregiven on that kit ...

Diploma in Dietetics and Nutrition, Diploma in Diet and Nutrition, Diploma in Paediatric Nutrition, Diploma in Total Nutrition Therapy course, Diploma in Nutrition and Health Education, Role of Nutrition in Diabetes, ICU & Gastroenterology , Nutrition Counselor Course in Bariatric Surgery

Dietitian/Nutritionist

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Weight is one issue that 90% of the people are not happy with. While some think they have a fat stomach or thighs, others want to reduce their biceps or arm size. Changing food habits and sedentary lifestyles have made weight loss a big challenge. Losing weight is not just about looking good, but also about living healthy.

The journey of weight loss is a tedious one and in a way never ending. Because it is not just about losing weight, but maintaining it. If you were overweight to begin with, then the changes that you are prone to bounce back to your previous weight are quite high. However, as much as it may sound tedious, it is not impossible. There are some things that people who have succeeded in losing weight do.

The below are just a few of the top things, there are definitely more:

Discipline: Whether to say no to the extremely appealing cheese laden pizza or your favourite alcoholic drink, when you are on the way to weight loss, you need to say NO. A loud, affirmative, clear NO. Every single thing that you put into your system needs to be watched for. The same affirmative NO is required for the urge to sleep for that extra few minutes and delay your workout. You just have to be hard on yourself - discipline, self-control, strong will, or commitment - whatever you want to call it, this is the most important ingredient that weight loss winners would vouch for. Without this, no amount of coaxing by your trainer or dietician or doctor is going to work. The final onus and the single determining factor in your weight loss is you - you decide if you win or lose.

Set realistic goals: Just because you idolize a sportsperson or a movie star does not mean you should set target to look like them. Each person's body composition is different, which will determine your looks and weight. Consult with experts who know the subject and set realistic goals. While some may be able to lose 10 kilos or pounds over 10 days, others might only to able to accomplish 3 to 4. Do not fret over this, realize that your body as unique and set goals based on how it will respond.

Winners keep scores: As you embark on your weight loss journey, remember to keep scores. Set up milestones by weeks and months, and make sure you track and meet them. If you are falling short, step back and analyze and work at it. Once you have reached your target of the initial loss, keep scores in terms of what you can eat and exercise and track those too.

Enjoy the grind: If you look at weight loss as something you are doing to please somebody, then you are going to find it more difficult. The most important ingredient is to realize that you are doing it for yourself and to enjoy the entire journey of weight loss. Feel good about your altered food habits and exercise and look at the mirror to appreciate the small changes that your body is going through. Feel good about every inch you lose, and you are sure to lose more.

Hello-
Vaginal discharge after IUCD insertion is due to irritation of soft uterine wall with this metallic device. It is like just poking finger in your eyes. Consult your gynecologist (which has performed the insertion) or start utero-protective ayurvedic medicines instead of using antibiotic and subsiding infection.

For thousands of years, breathing practices were believed to improve our health and wellness.

Modern research has shown that this is still the case: proper breathing can help us boost our immune system, lower blood pressure, accelerate healing and much more.You may be wondering: “why would I need to learn how to breathe? I was born breathing!”

Well, yes, apparently we were all breathing professionals as new-borns.

According to Don Campbell, author of Perfect Breathing: Transform Your Life One Breath At A Time, we were born with a natural ability to breathe. If you ever watched a baby breath, he says, “you will notice that they inhale naturally and deeply and their stomachs expands like a balloon with each breath”.

Sadly, however, this ability doesn’t follow us for too long: modern life and its usual patterns such as stressful lifestyle and sedentary habits take over our natural ability to breathe slowly. Have you observed your breathing pattern when you are experiencing emotional overwhelm or everyday stress?As stated in one of Harvard Medical School’s publications on breathing: “one reason may be that our culture often rewards us for stifling strong emotions. Girls and women are expected to rein in anger. Boys and men are exhorted not to cry. What happens when you hold back tears, stifle anger during a charged confrontation, tiptoe through a fearful situation, or try to keep pain at bay? Unconsciously, you hold your breath or breathe irregularly.”

Breathing can help us relax and gain focus by getting rid of the tensions in our body.That’s why ancient practices like yoga, meditation and Pilates are proven methods for your mind body health.

THE BENEFITS OF SLOW BREATHING“When we go below 10 breaths a minute we engage the parasympathetic nervous system, which helps the body relax when it has been injured”, states Clinical Psychologist Dr. Meunch. Slow breathing, he continues: “activates the vagus nerve, the primary cranial nerve, which is associated with a recuperative state.”

The benefits of breathing don’t stop here though.

Slow breathing has been proved to regulate high blood pressure, which is one of the main risk factors for strokes and heart attacks.For this reason, different breathing devices have recently landed to the market, including Resporate. This device first monitors patient’s breaths per minute.

Then it plays musical notes so that the patient can breathe in on one note, and breathes out on another.

The slower the breath, the longer the note will play.

On top of physical benefits, breathing also affects our minds.With deep inhalation we bring more oxygen into our bodies, with deep exhalation we are removing toxins from our body. Simple yet fascinating process.

SO HOW DO WE BREATHE PROPERLY?The air you breathe in through your nose should go all the way down to your stomach. Your breathing muscles consist of the diaphragm and muscles in your core, chest, neck and shoulders. For deep breath, 70-80% of the inhaling should be done by pushing your diaphragm away from your ribcage. In simple words, go back to being a baby and fill your belly and chest with oxygen!

Try this breathing exercise out. This can be executed anywhere, at your desk in the office, at home or when on public transportation:1) Inhale deeply, for 2 seconds. When you do this, think of filling your lungs from the bottom to the top.

2) Hold for 1 second.

3) To help activate your diaphragm, exhale for 2 seconds, as it you were blowing out a candle.

4) Hold for another second.

5) Repeat.

Once you master this simple exercise, your body will remember this breathing technique and you will start to incorporate slow breathing into your daily activities. Dr Chandhok

Today ‘working’ usually implies sitting at a desk from morning to evening. While this may seem more comfortable than working in the fields, sitting at a desk can trigger a host of back problems. This is because sitting in the same position all day makes the spine bend forward and lowers the efficiency of the back muscles. Working at a desk not only strains your back, but also restricts your movements to typing on a keyboard and moving a mouse.

Once a back problem begins, it usually lasts a lifetime hence; here are a few tips to save your back.

Get yourself a good chair: Your chair is crucial to your back’s health. Avoid the hard backed plastic chairs and pick a more flexible mesh backed office chair if you sit at the table for a long span of time. Ergonomic chairs may seem expensive, but are worth the expense in the long run.

Stretch your muscles: Sitting in the same position all day, puts the muscles under stress and with time can constrict the muscles. Make it appoint to stand up every 30 minutes and stretch your back and sides. Also try rotating your hips and shoulders form time to time.

Take a break: No matter how much work you have in front of you, take a break at the end of each hour. Taking even 2 minutes off out of 60 every hour can have a huge impact on your health. If you still feel guilty skip using the phone to connect with your colleague and walk over to their desks instead.

Get a pedometer: Keeping a pedometer will help you track the number of steps taken in a day. Ideally, a person should take 10,000 steps a day to stay healthy. If you sit at a desk for majority of the day, take every opportunity you can to up the count on your pedometer. Go for a walk around your office after lunch or park your car a little way off from the office to create opportunities to walk.

Take the stairs: As far as possible avoid escalators and elevators. Instead climb stairs for a quick workout. If your office is on the 20th floor, walking up may not be feasible, but you could get off the elevator on the 18th floor and walk up the remaining two floors.

Eat healthy: Lastly, pay attention to what you eat. Avoid eating at the office canteen or picking up a bite at the coffee shop and carry lunch from home. This ensures that you eat a balanced meal. If you wish to discuss about any specific problem, you can consult a doctor and ask a free question.